Individual
TIANNA NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 EAST ST, PAHRUMP, NV 89048-5368
(702) 913-5214
Mailing address
PO BOX 822, 1658 KETTEN RD, TONOPAH, NV 89049-0822
(913) 702-4309
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/15/2015
Last updated
08/15/2015
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